As soon as Edward left, Brecht met him face to face, exchanged greetings with him, and then entered Franz's office.
The document just now was sent by him.
The document is just a general battle report during the recent period, including the inability to hold on in Kischin on the western front and the mutual attack and defense in Olmitz on the northern front. These are all obvious things. During this period, Prussia's attack intensity has weakened, but its overall combat effectiveness is still strong.
Whether it is against Prussia or Austria, the war has not achieved their respective goals so far.
War is like a quagmire with no visible edges. The two parties are walking in it, sinking deeper and deeper into it, and it is far from easy to get out.
However, in Franz's eyes, this ordinary battle report seemed extremely precious, because there was an extra letter in it. The letter was written by Morasso, the deputy marshal of the Italian Army, and the content was related to an unknown siege on the northern front. 【1】
"Such an important thing should have been sent as soon as possible, why was it mixed with other documents?" Franz was in a good mood, and even when he blamed it, he smiled.
"Originally I was going to deliver it to His Majesty in person, but I met Edward on the way." Grand Duke Brecht was also helpless. "He is very sensitive. If he finds out the signs and leaks the matter, it may be detrimental to us." .”
Franz nodded and calmed down after his reminder: "Indeed, I was happy too early."
Although France clearly wanted to help Austria, in fact, it was Prussia, a weak country in the eyes of everyone, that it wanted to help a month ago.
If he wants to maintain the balance of power in Europe, he cannot help the stronger side, and if he wants to achieve the goal of hurting both sides, he cannot help as soon as the war starts. He will definitely act very coy, and it would be best to wait for a few more months, until both sides have suffered greater losses in the battle before ending up as a peacemaker, just like he is now.
However, the development of the war exceeded everyone's expectations. Austria, which should have been sure of victory, was beaten from beginning to end by Prussia, and the sporadic counterattacks were not painful.
No matter how you look at it, it is only a matter of time before France takes action to mediate. The reason why it did not say anything is simply because Austria's defeat was not miserable enough.
Now there is a sudden change. If France knows its bargaining chip, the original "help" will no longer exist. If other variables occur, it may be possible to turn to Prussia again. After all, Austria has always been the stronger of the two countries in the eyes of everyone.
"Fortunately, I didn't say anything just now..." Franz read Morasso's letter from beginning to end again and asked, "By the way, does that man have any other brothers?"
"Emperor Pu only has one son."
"Can you confirm your identity?"
"Although I haven't admitted it, the troops are indeed the Prussian Guards Corps. Unless there are special arrangements, they are usually commanded by him."
"If it is really that person, we at least have the initiative to negotiate." Franz folded the letter and stuffed it into his desk drawer. "You are right, things must be kept strictly confidential, especially for that Edward. At the same time, we need to send someone to Prussia to get some fresh air..."
"After a month of fighting, it's really time to talk." Brecht suddenly thought of something and asked, "Edward is looking for your majesty because of Mr. Edem's matter."
"Yes, Dr. Kawei is indeed very efficient, and the time for the operation has been determined. Regardless of whether it can be successful in the end, at least we tried our best." Franz was very satisfied with his original attitude and judgment towards Kawei, "When I carried Ai Ding Sen’s pressure forced him to elevate his status, and now he has indeed received the rewards he deserves.”
"Your Majesty is wise."
Brecht flattered and said: "In my personal judgment, regardless of whether the operation is successful or not, Nao San will choose to sit still. The situation was originally not good for us, but now things are going beyond expectations. We can end this war as soon as possible behind France's back." War, don’t give them a chance to intervene.”
"Yeah, that makes sense."
"Your Majesty, what Edward said at the beginning should be followed up as soon as possible."
Franz was still immersed in the joy of Morasso's meritorious service and did not understand what he meant: "Huh? What's the matter?"
"It's just about going to Paris."
"Oh, yes, that's what Edward said just now." Franz relaxed and leaned on the back of the chair, rubbed his sore forehead, and caught up with his thoughts, "Paris... This is a good opportunity. It would be too much trouble for him to stay here and keep talking, so we might as well let him go back to Paris to give us some peace and quiet."
Brecht's method is simple: "As long as the operation is successful, Kavi can leave."
"What if it doesn't work out?"
"You have to go even if it doesn't succeed. The original purpose of Edward's trip to Paris was not this operation." Brecht was confident in his judgment, "It's just that if the operation fails, the trip may be more uncomfortable. "
Franz nodded and confirmed his plan: "Dr. Kawei has been busy for several months, and it's time to go out for a vacation and rest. When the war is over, I have to..."
Speaking of this, he suddenly paused for a moment: "Forget it, let's wait until he returns to China and talk to him."
...
Kawei was lucky enough to stay away from the war this time, but the war is still closely related to him.
Not only are there war reports and gossip [2] flying all over the world, but Edem's surgery has also been bothering him.
The diagnosis of bladder cancer is basically clear. For radical surgery, the tumor and a considerable range of surrounding tissue must be removed. The bladder is not large to begin with, so it is unrealistic to perform partial resection. The operation must remove the entire bladder. 【3】
It is not difficult to cut off the bladder, but when the urine storage container of the bladder disappears, what should we do with the urine that keeps flowing out of the ureter?
Directly connect the ureter to the urethra?
Obviously not, the distance is not enough. Even if it is really connected, the amount of urine required to stimulate the urge to urinate will continue to expand the ureter, and the result will be pain similar to ureteral stones. No one can withstand such torture.
It is impossible to change the position of the bilateral kidneys that discharge urine, and it is not possible to directly connect the ureters to the urethra, so the only option is to change the route.
In fact, urinary diversion surgery is not a procedure unique to modern medicine. Kawei looked through the library of the Medical College of the University of Vienna, and there was a report on ureteral diversion. However, this diversion will obviously have quite a few complications. Even after the surgery to remove the tumor, the body will not be able to hold on for long. 【4】
Excluding such diversion methods, the most suitable and easily tolerated procedure for the elderly is ureterocutaneous stoma. 【5】
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This type of surgery connects the ureter directly to the abdominal wall to create a stoma. It is simple and convenient to operate. Chief doctors like Massimov and Ingenac can do it by explaining the process. But the problem is that urine flows out through the abdomen and requires wearing a urine bag for the rest of life. Nursing care is very troublesome and the quality of life is greatly reduced.
The key is that there were no good rubber and silicone products in the 19th century, and anti-infection and regular replacement of the stoma were also very troublesome.
Neither of the above methods was suitable for Edem, so Kawei decided to follow the modern urological approach to bladder cancer and perform radical bladder cancer surgery + orthotopic neobladder surgery. That is to say, a section of intestine is taken and transformed into a bag shape to become a substitute for the bladder.
This kind of surgery takes a long time, is difficult, and has high technical requirements.
Because insufficient technology will greatly increase the chance of postoperative complications, this is a difficulty that was unacceptable to the medical level in the 19th century. Once complications arise, there is little that can be done to reverse them.
But the good thing is that if the surgery is successful, Edem's quality of life will return to normal levels after surgery.
If it were in the 21st century, in the hospital before Kavi's time travel, the urology department to deal with bladder cancer would have established a comprehensive medical unit integrating outpatient departments, wards, and surgical diagnosis and rehabilitation.
There are discussions, assessments and consultations before the operation, and there is multidisciplinary cooperation and support during the operation, with assistance from various departments starting from the perioperative examination. There are also emergency treatment mechanisms for severe complications such as rectal injury and acute renal failure.
As for the surgeon, after all, this is a fourth-level surgery, and the surgeon’s experience and skills directly determine the direction of the patient’s treatment.
Kawei is not a urologist. He has seen pelvic floor reconstruction and neobladder surgery in urologists, but he obviously has no technical experience.
It has been emphasized that Erdem's surgery is not simple, and success or failure is normal. But he knew in his heart that the gap between success and failure was like the gap in security between the frontline trenches and the Vienna cathedral. It was difficult to measure by simple conjecture.
It has been more than half a year since he traveled here, and this is the first time that Kawei is not sure about the surgery.
After the consultation ended on the afternoon of the 27th, Kawei went to the Municipal General Hospital to find cadavers for surgical practice. Until the night of the 28th, when he ran out of spare cadavers in the hospital, he chose to go to the College of Surgery to rub the cadavers.
However, it would not be an exaggeration to say that the body that got into the hands of others was personal property. After a lot of hard work, he only got two chances to try from Jacob's hands.
Before, he hoped that he could make up for the lack of experience through practice, just like other surgeries before. But in fact, he still underestimated the difficulty of level four surgery. When these two opportunities at the surgical school were exhausted, the accumulation of experience was still slow, and Kawei still could not see the successful operation from the cadaver operation.
Modern perioperative period requires multi-disciplinary cooperation. If there is a problem after the operation, a second operation can be performed. Consultation can be called to deal with it together. There are a large number of drugs to choose from. But now Kawei has no choice but to rely on himself. A blood electrolyte imbalance can give him endless headaches.
It was impossible for him to gamble with Edem's body. He could only try to reduce the operation time and improve the success rate of the operation.
To do this, he needed time, bodies, and more practice.
The 30th was the day of Edem's surgery. In order for the operation to go smoothly and for Edem's post-operative life, Kawei had to go to the embassy.
Edward and Edem were very surprised when they entered the door, because the original operation time was at one o'clock in the afternoon, and the Municipal General Hospital would send a carriage to pick them up by then. No one would have thought that Kawei, who had been "missing" for two days, would suddenly appear in their presence. before.
Edward was eating breakfast with a newspaper in his hand. Edem needed to fast due to the operation and could only sit aside and read the newspaper. On the other side of the table was Mosier who was also waiting for the operation to start: "Why did Dr. Carvey come in person?" ? Could it be that the operation time has been advanced?"
Kawei's face was not very good-looking. Staying up late gave him dark circles, and the smell of corpses and carbolic acid still lingered on his body: "I came to discuss the surgical plan with Mr. Edem, because there are many options, each with its own pros and cons. He has to make the decision."
The three people who heard this looked very surprised and quickly asked the servant to prepare food: "Dr. Kawei, please sit down. By the way, have you had breakfast?"
"No...well, I've eaten." Kawei was about to say no, but quickly changed his mind, "I ate at four in the morning at the School of Surgery."
"You said four o'clock in the morning?"
"Yes, we are studying new surgical techniques. Nowadays, the only ones who can get corpses are the School of Surgery." Kawei greeted the servant who brought the food, "Please give me a pen and paper, thank you."
"Dr. Carvey is really hard-working." Mosier seemed to see the reason why Carvey was so good. "Those young people who are still living in Paris and are complacent about being in a famous medical family will definitely not go to the hospital just for an operation." You're wasting your precious sleep time."
Edward was equally surprised and finally understood why such a young doctor could have such a talent. If it is true as others have said, if you have been exposed to surgery since you were seven or eight years old and practice diligently every day, it is understandable that you can achieve such a high level.
"Dr. Carvey, did you just say that you wanted to discuss surgery with Mr. Edem?"
"yes."
"Since it's Dr. Kawei, shouldn't you make the decision on the operation?" Edem was very surprised. "For me, a patient who is not a medical professional, to make the decision... this is really a bit overwhelming."
"Because the surgical techniques are different, the risks and quality of life are different." Kawei had already engraved the informed consent in his bones and explained, "Mr. Edem has a distinguished status and is different from others. You must do it yourself." Make a decision. As for the professional issues you mentioned, they are actually not difficult. You will understand as soon as I tell you."
...
After half an hour of drawing and explanation, Edem finally understood his urinary system and the various surgical methods he was about to face with the help of Kawei and Mosier.
In fact, for him, he had already made a decision after learning about the quality of life after surgery: "Then I must choose the third option."
"But the third type is very dangerous and may fail." Kawei once again emphasized the disadvantages of the operation. "If the operation fails, your life may not last long."
"If you succeed, will you be like a normal person?"
"Yes, as long as you survive the postoperative dangerous period and practice urination training for a period of time, you will be just like a normal person." Kawei explained, "Although the first two types have various minor problems, the risks of surgery are very high. Xiao, I can guarantee the success of the operation."
"A small problem? This is not a small problem! The first life span is too short. I want to live for a few more decades. How can I die so quickly? What is the purpose of my surgery when I know that my life span is limited?"
Edem attaches great importance to the quality of life: "Compared with the second one just mentioned, it is even more outrageous. You actually have to poop and pee on your stomach. Whether this stuff smells bad or whether it will affect your appetite is not mentioned for the moment. Let me How can I be honest with girls when I have a shit bag hanging on my face? This is worse than death!"
Kawei was a little confused, while Mosier and Edward on the side raised their red wine glasses and praised the words: "Doctor Kawei?"
"Um?"
When the atmosphere arrived, Kawei had no choice but to pick up the wine glass: "Oh oh..."
Edward shouted: "Cheers to Mr. Edem's future chic and romantic life!"
"cheers!
! "
Kawei just touched his lips, but the two drank it all in one gulp. And Edem's final answer was very firm: "I want to be like a normal person, and I choose the third surgery. Dr. Kavey, please."
